Individual provider Active NPI

Joymarie Patrice Schillaci

  • Behavior Technician
  • Tulsa, OK
National Provider Identifier
1669008207
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-115149 Issued in OK
Practice address
7170 S Braden Ave Ste 195
Tulsa, OK 74136-6324
Phone
(918) 280-0090
Fax
(918) 561-6764
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-115149 OK Primary

Addresses

Primary practice location

7170 S Braden Ave Ste 195
Tulsa, OK 74136-6324

Mailing address

7107 S Yale Ave # 161
Tulsa, OK 74136-6308
Phone (918) 280-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-20-115149OKMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1669008207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7107 S YALE AVE # 161",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366308",
            "telephone_number": "918-280-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 S BRADEN AVE STE 195",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366324",
            "telephone_number": "918-280-0090",
            "fax_number": "918-561-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLACI",
        "first_name": "JOYMARIE",
        "middle_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OK",
            "license": "RBT-20-115149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.